No Nomor Kartu Nama Jenis Kelamin TGL Pelayanan Kddiag Awal Nmdiag Awal Kddiag Akhir Nmdiag Akhir

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No Nomor Kartu Nama Jenis Kelamin Tgl Pelayanan KdDiag Awal NmDiag Awal KdDiag Akhir NmDiag Akhir

1 1392019121 SANTI TANDI BAYANG Perempuan 8/6/2016 R05 Cough J40 Bronchitis, not specified as acute or chronic

2 1823811783 H. ABD. LATIEF Laki-Laki 8/3/2016 K92.1 Melaena N390 Urinary tract infection, site not specified
3 1392011381 AHMAD MUASSAF, SE Laki-Laki 8/27/2016 I10 Essential (primary) hypertension I10 Essential (primary) hypertension
4 131652876 MUHAMMADONG BEDDU Laki-Laki 8/9/2016 M19.9 Arthrosis, unspecified I10 Essential (primary) hypertension
5 948455267 NURDIN RAKI Laki-Laki 8/8/2016 I10 Essential (primary) hypertension I10 Essential (primary) hypertension

6 1077514086 MOHTAR PALOPO Laki-Laki 8/1/2016 I10 Essential (primary) hypertension J40 Bronchitis, not specified as acute or chronic

7 947829238 SARI BUNGA Perempuan 8/24/2016 N39.0 Urinary tract infection, site not specified N390 Urinary tract infection, site not specified
8 1556219913 Suriati Perempuan 8/8/2016 R04.2 Haemoptysis I10 Essential (primary) hypertension
9 131652887 HALI Perempuan 8/30/2016 R07.4 Chest pain, unspecified I10 Essential (primary) hypertension

10 131745442 MT.ARIFUDDIN Laki-Laki 8/13/2016 J40 Bronchitis, not specified as acute or chronic I10 Essential (primary) hypertension
11 1789586122 ZAKILAH PUTRI Laki-Laki 8/15/2016 H66.9 Otitis media, unspecified T171 Foreign body in nostril
12 1073904118 SYAMSIAH Perempuan 8/8/2016 I10 Essential (primary) hypertension I10 Essential (primary) hypertension
13 1970077307 rasmawati Perempuan 8/2/2016 I10 Essential (primary) hypertension I10 Essential (primary) hypertension
14 948213786 MARIAMA Perempuan 8/24/2016 I10 Essential (primary) hypertension I10 Essential (primary) hypertension

15 1391841145 S I N A Perempuan 8/9/2016 R53 Malaise and fatigue J40 Bronchitis, not specified as acute or chronic

16 1392013348 RISKA FIRDAUS Perempuan 8/5/2016 K29.7 Gastritis, unspecified J40 Bronchitis, not specified as acute or chronic

17 1391835407 PATAHUDDIN Laki-Laki 8/27/2016 J40 Bronchitis, not specified as acute or chronic J40 Bronchitis, not specified as acute or chronic
18 1391989994 ST. SYAMSINAH Perempuan 8/19/2016 R51 Headache I10 Essential (primary) hypertension

19 947009169 IDRIS Laki-Laki 8/3/2016 L23.9 Allergic contact dermatitis, unspecified cause B359 Dermatophytosis, unspecified
20 948244601 NURHANA Perempuan 8/23/2016 R06.0 Dyspnoea I10 Essential (primary) hypertension

21 948362938 NURHAMA Perempuan 8/2/2016 R10.4 Other and unspecified abdominal pain N390 Urinary tract infection, site not specified
22 948493168 MUH KASILAS Laki-Laki 8/19/2016 R51 Headache G442 Tension-type headache
23 1391965413 MAGFIRA Perempuan 8/12/2016 B35.6 Tinea cruris B360 Pityriasis versicolor

24 2066407143 MUH. NIZAM RAMADHAN SYARIF Laki-Laki 8/1/2016 J06.9 Acute upper respiratory infection, unspecified J40 Bronchitis, not specified as acute or chronic
25 2075408043 MUH. ARDIANSYAH Laki-Laki 8/29/2016 H61.2 Impacted cerumen H612 Impacted cerumen
26 1391918769 IRWAN Laki-Laki 8/26/2016 R06.0 Dyspnoea I10 Essential (primary) hypertension
27 1392008286 LINDA Perempuan 8/9/2016 I10 Essential (primary) hypertension I10 Essential (primary) hypertension

28 947313494 MELIN Perempuan 8/20/2016 J40 Bronchitis, not specified as acute or chronic J40 Bronchitis, not specified as acute or chronic

29 953967172 SITI ROMIANI Perempuan 8/31/2016 R10.4 Other and unspecified abdominal pain N390 Urinary tract infection, site not specified
30 1788811018 NIAR Perempuan 8/12/2016 R10.4 Other and unspecified abdominal pain I10 Essential (primary) hypertension
Total Biaya
RS Rujukan Total Biaya

"BINTANG LAUT (JST)" 187,800

SAWERIGADING PALOPO 449,900


"BINTANG LAUT (JST)" 157,200
"BINTANG LAUT (JST)" 157,200
"BINTANG LAUT (JST)" 157,200

"BINTANG LAUT (JST)" 187,800

"BINTANG LAUT (JST)" 349,900


"BINTANG LAUT (JST)" 157,200
"BINTANG LAUT (JST)" 157,200

"BINTANG LAUT (JST)" 157,200


SAWERIGADING PALOPO 157,700
"BINTANG LAUT (JST)" 157,200
SAWERIGADING PALOPO 167,300
SAWERIGADING PALOPO 167,300

"BINTANG LAUT (JST)" 187,800

"BINTANG LAUT (JST)" 187,800

"BINTANG LAUT (JST)" 187,800


"BINTANG LAUT (JST)" 157,200

SAWERIGADING PALOPO 142,800


"BINTANG LAUT (JST)" 157,200

"BINTANG LAUT (JST)" 123,300


SAWERIGADING PALOPO 167,300
SAWERIGADING PALOPO 142,800

RS ST. MADYANG 187,800


SAWERIGADING PALOPO 157,700
"BINTANG LAUT (JST)" 157,200
"BINTANG LAUT (JST)" 157,200

SAWERIGADING PALOPO 200,800

"BINTANG LAUT (JST)" 123,300


"BINTANG LAUT (JST)" 157,200
5,363,300

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